Individual
ALEXANDRIA CHARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10332 S WESTERN AVE # 5, CHICAGO, IL 60643-2411
(773) 571-5707
(773) 337-4983
Mailing address
10332 S WESTERN AVE # 5, CHICAGO, IL 60643-2411
(773) 571-5707
(773) 337-4983
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C66000285680
IL
Other
Enumeration date
08/20/2024
Last updated
09/04/2024
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